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General NPI Number Information
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NPI Number | 1285543009
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Entity Type | Individual
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Provider Name | SHULAMIS BLAU
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Gender | Female
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 99 ROUTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6423
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Country | US
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Telephone | 732-557-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HOLDEN SQ
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5828
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Country | US
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Telephone | 214-769-1668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR27368800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NJ
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